Claim Form CMS-1500 or HCFA-1500 is a 1-part form; it has already been authorized by Medicare and Medicaid Services to meet all insurance claim requirements. This is a standard form.
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Medicaid Claim Form Laser 1 Part
From:
$45.00
Weight
12 lbs
Dimensions
1 × 2 × 3 in
Quantity
500, 1000
Paper Type
1 part (white only)
Dec 08, 2012
Anonymous Customer
Dec 08, 2012
Anonymous Customer
Dec 08, 2012
Anonymous Customer
Need to see the final product first before I can rate my experience. I did find it fast to create for my immediate need.
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